Individual
RAFI U SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W 16TH STREET, BEDFORD, IN 47421
(812) 279-6655
(812) 275-1333
Mailing address
2900 W 16TH STREET, BEDFORD, IN 47421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01052714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200298850
—
IN
Enumeration date
09/08/2005
Last updated
12/21/2020
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